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Fig. 1 | BMC Surgery

Fig. 1

From: Application of depithelized gracilis adipofascial flap for pelvic floor reconstruction after pelvic exenteration

Fig. 1

a Pelvic floor defect after pelvic exenteration and design of gracilis flaps on the inner side of both thighs. b The flap is freed with the proximal end of the muscle as a pedicle. c The skin was removed, and the muscle and subcutaneous tissues of the fascia were retained to prepare the gracilis adipofascial flap. The flap was rotated at 180° into the pelvic floor defect through the subcutaneous tunnel. d The pelvic floor defect was repaired with the gracilis adipofascial flap. e The recipient and donor sites were sutured. f 8 months postoperatively. g Gynecological MRI indicated good survival of the muscle flap, as marked by the white arrow (preoperative on the left side and postoperative 4 months on the right side)

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